摘要
目的探讨药物结合心理疗法对哮喘患者心理状况和生活质量的影响。方法对260例支气管哮喘患者,采用zung抑郁自评量表(SDS)和zung焦虑自评量表(SAS)评估,将其中出现不同程度焦虑、抑郁症状的患者90例,随机分为干预组46例和对照组44例,两组均接受常规药物治疗。干预组在药物治疗的基础上给予8周的心理干预治疗。对两组患者进行治疗前后(SDS)和(SAS)测评。使用生活综合评定问卷(GQOLI-74),对二组患者进行治疗前后同期组间比较。结果治疗前两组患者的SDS和SAS无显著差异,治疗8周后,干预组的SDS和SAS评分明显低于对照组(P﹤0.01),其差异有显著性意义,两组在治疗后GQOLI-74各维度及因子分间有统计学差异。结论心理干预能有效缓解和消除哮喘患者的焦虑、抑郁症状,对哮喘患者的生活质量有明显改善,可提高治疗、康复的总体疗效。
Objective To explore the effects of drugs combinating psycho-intervention on the psychological state and the living quality of the patients with asthma. Methods 260 cases with bronchial asthma were evaluated with zung＇s SDS and SAS, 90 cases which appeared the different extent of anxiety, depression were randomly divided into intervention group （46 cases） and control group （44 cases）, the two groups were treated with the routing drugs. The intervention group was given 8 weeks psycho-intervention therapy in the basis of medication. The two groups＇ patients were tested and evaluated with SDS and SAS before and after treatment. GQOLI-74 was compared between two groups. Results No significant difference in the two groups＇ SDS and SAS before treatment, but 8 weeks later, the scores of SDS and SAS of the intervention group were lower the control group （p〈0.01）, there were significant difference, the diamensions and factors of GQOLI-74 had statistic difference after treatment. Conelosion Psychointervention can effectively relieve and eliminate the syndrome of anxiety and depression of the asthma patient, obviously improve the living quality, increase the general effectiveness of the treatment and rehabilitation of the asthma patients.
出处
《当代医学》
2009年第34期62-63,共2页
Contemporary Medicine
关键词
心理干预
哮喘
焦虑
抑郁
生活质量
Psycho-intervention
Asthma
Anxiety
Depression
The living quality
